GI assessment (final) Flashcards

1
Q

what is the primary function of the gi system?

A

-breakdown of food for digestion
-absorption of nutrients into blood stream
-elimination of undigested food and waste

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2
Q

is the GI system an open or closed system

A

closed

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3
Q

what is the pathway of the gi system

A

mouth -> esophagus -> stomach -> small and large intestines -> rectum -> anus

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4
Q

what secretes bile and breaks down fat

A

gallbladder

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5
Q

what has digestive enzymes

A

pancreas

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6
Q

what system feeds gut organs

A

portal venous system

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7
Q

what is in the portal venous system

A

-superior mesenteric
-inferior mesenteric
-gastric
-splenic
-cyctic

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8
Q

where does most digestion occur

A

duodenum and jejunum

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9
Q

what is a non-invasive test that can be used to look at the gallbladder, pancreas, and appendix

A

abdominal US

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10
Q

what diet changes are made before an abdominal US

A

fat free meals the day before, NPO starting night prior to surgery

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11
Q

what test used a barium contrast agent to detect foreign bodies, ulcers, and varices

A

fluoroscopy with x-ray

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12
Q

what are considerations for fluoroscopy with x-ray

A

-NPO @ midnight
-pt drives home after
-encourage fluids to flush our barium
-may have white stools, GI upset

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13
Q

what is used for direct visualization of esophageal, gastric, and duodenal mucosa

A

upper GI fibroscopy (EGD)

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14
Q

considerations for EGD

A

-NPO @ mid
-conscious sedation
-PACU/can’t drive
-may have sore throat
-assess gag reflex
-may feel bloated

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15
Q

what is a fluoroscopy and x-ray with contrast agent in the from of an enema, looks at colon for constipation and GI conditions

A

lower GI fluoroscopy

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16
Q

visual exam of anus, rectum, and colon to detect and remove polyps

to diagnose and r/o disorders of the colon

A

colonoscopy

17
Q

considerations for colonoscopy?

sedation, diet, prep and after effects

A
  • conscious sedation
  • needs ride after
  • left side-laying during
  • bowel prep before
  • instill air, may feel bloated and have gas
18
Q

what is used for…

  • feedings/meds
  • decompress stomach
  • remove stomach contents
A

NG tube

19
Q

what is used for…

  • intubated patients
  • short term and less common
A

OG tube

20
Q

what is used for…

  • opening in stomach
  • admin of foods, fluids, and meds
  • gastric decompression
  • enteral support for longer than 4 weeks
A

gastrostomy tubes (PEG and G tube)

21
Q

what is …

  • an opening into the jejunum
  • used for admin of foods, fluids, and meds
  • used when gastric route not accesible or contraindicated
A

jejunostomy (j tube)

22
Q

what is a method of providing nutrients to the body by an IV route. Contains protein, carbs, fats, electrolytes, vitamins, trace minerals, and sterile water

A

TPN

23
Q

what is the quantity and time TPN should be given over?

A

1-3 L over 24 hour period

24
Q

what may be infused simultaneously with TPN

A

IVFE (intravenous fat emulsions)

25
Q

what can TPN be given trough?

A

PICC or central line ONLY

26
Q

what kind if IV nutrition can be given through a peripheral line?

A

PPN

27
Q

what is important to watch for while on TPN?

A

rebound hypoglycemia